Facility Evaluation Report
On this day 4/17/2023 at around 12:30PM, Licensing Program Analyst (LPA) L. Ibo arrived unannounced at the facility to conduct annual required inspection. LPA was met with Administrator Alfredo Bonifacio Jr. LPA informed Administrator the purpose of the visit.
LPA toured the entire premises indoors and outdoors. The facility has 7 bedrooms including master bedroom, 4 bathrooms including master bathroom, two story house per facility sketch. 6 bedrooms are designated for clients. LPA observed 2 fire extinguisher which was in the kitchen and second floor of the home, service date of Sept.15,2022. Smoke detectors and carbon monoxide detectors were observed operational. The facility received a fire clearance dated 03/25/2022 with an approval for capacity of 6 ambulatory clients only.
Facility has sufficient supply of perishable and non-perishable foods. There are 4 staff working during the visit and both are fingerprint cleared. Bathrooms were observed with grab bars and nonskid mats.
LPA reviewed 3 clients and 3 staff files and interviewed 2 clients and 3 staff. Facility has wired carbon monoxide and smoke detector that were observed functional. Facility has a current liability insurance.
At around 11:47AM, LPA observed two canned good expired on 11/2022.
Deficiencies are being cited today in violation of California Code of Regulations and follows on 809D. Failure to submit proof of corrections (POC's) along with LIC9098 by plan of correction due dates may result in civil penalty.
Exit interview was conducted with Administrator and Appeal Rights was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction